Permit a CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
71 ; ; COMMUNITY DEVELOPMENT Permit #: FPS2010 00088
T IG,ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/13/2010
Parcel: 2S113AC00103 •
Jurisdiction: Tigard
Site address: 7216 SW DURHAM RD, BLDG# P
Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project: Otis Elevator
Project Description: Add (6) fire sprinkler heads for new mezzanine and stairs.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - COM 08/13/2010 $102.20
PORTLAND, OR 97224 12% State Surcharge - Building 08/13/2010 $12.26
PHONE: 503 - 624 -6300
Contractor:
CROSSFIRE SPRINKLER CO
17400 SE 82ND DR
CLACKAMAS, OR 97015
PHONE: 503 - 210 -5506
FAX: 503- 210 -5538
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System: •
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $114.46
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 2066
Residential Square Footage: 0
Fire Alarm Valuation: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notifi ter.. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dire questions to OUN I . 'n• - 13.246.6699 or 1.800.332.2344.
Is ued By: /:(/ �, / t Permittee Si nature: ' 1 . 40----<....' '
Call 503.639.4175 by 7 :00 a.m. for an inspection that b ' ess day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application Fire Protection System RE C : i
' I I t. O I2 P 11 1,1 -,1 ()NI V
City of Tigard AU G 1 3 2010 v
Received Raters : it Permit No.: 75a,(p-eyzo gg
lipl • 13125 SW Hall Blvd., Tigard, OR 97223 (% - , , . r Plan Review - L.
Phone: 503.639.4171 Fax: 503.598.1960 • ' 1 g i. -' • , � Otter Permit: I_dt.t.0a o ( - ( g
1 1 s,.. - ,4 ,- i � Data, T1t i:'I, lnspectionLine:503.639.4175 b1 p ; e� - ill , Notified/Method: ® � Page 2ter
Internet: www.tigatd- or.gov a' (i,), - e pplementalInformation
❑ New construction ❑ Demolition Pemrit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
— =S=ri ` a = — work indicated on this application.
❑ 1- and 2- family dwelling ® Commerciallindustrial Valuation: S
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
=.= - = -
- Total number of floors:
Job site address: 7216 SW Durham Rd New dwelling area: square feet
City/State/ZIP: Portland, OR 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 900 ( Project name: Otis Elevator - Mezzanine Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permi fe es* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: materials, labor,
— « `, equipment, t s, l overhead, and the profit for the
. _ - - - __-- - _ 4 *, 5 i =' =M work indicated on this application
Add Sprinkler Heads under new mezzanine and adjacent stairs Valuation: 852,066.00
Existing building area: square feet
New building area: square feet ■ x , _ -•.. Number of stories:
11 - sr- .. ma .,
Name: PacTrust Type of construction:
Address: 15350 SW Sequoia Pkwy - Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing:
Phone: (503)624 6300 Fax: ( ) _ New:
.. ^• p c,- , . 4' `e.'. � •` `_ •' W : r .. - -•` - . r r . _. `- 3. - c .. - —,-� - • -= ,,,, =
- -.. ac
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
CitylStatelZiP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( )
E -mail:
... - - ._2 :- reads - ' 4 -� = W 3 ? -R-: - ..n..... J-- --,- -. t � -
Business name: Crossfire Sprinkler Company -" /0e/ �O
Permit fee:
Address: 17400 SE 82 Drive /
State surcharge (12% of permit fee): / ao
City / State/ZIP: Clackamas, OR 97015
FLS plan review (40% of permit fee):
Phone: (503) 210 -5506 I Fax: (503) • 10 -5 (Due upon application.)
CCB tic.: 174746 � f:� I ` Total permit fees: //T y4
Authorized signatu . 1r ,ts • Amount received:
This permit application expires if a permit is not obtained
Print name: Timothy A Bishop I Date: 8/13/10 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board.
I:'1 3uilding\Permits1FPS•PermaApp.dor 10/01/09 44046I3T(11 /InJCOMIWE9)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
r
y� :.. - ''' _ - . .. y .
1.) _ ❑ New 2.) Modification to sprinkler heads only:
02 Addition ® 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work
-- - —
"^
® Wet ❑ 1
Additional Stand . i. es
Information: Hazard Grou. Ordina
Densi
Des , Area
K. Factor 5.6
. r . .. $ 2066.00
Wi z — =� " _ ' :i-=� T = - •
Hood Project Valuation: $
t ------ --- • • ' 4-- ---.---,---,-,
F ._
_ ---,..--
L:. _
Submittal shall Batt ' Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
- 0 r 3 x-
r ___,:........
. � -
• uare Foot • e: Permit Fee: _,�
0 to 2,000 $198.75 _
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
= _-= -- v -
... _ -_: = =;; - ..._� _
7,201 and : eater $404.39 ::
Sprinkler Project Square Footage: . sq. ft.
Pro "ect valuation subtotal see A, B & C above : $
Permit fee based on . ro'ect valuation see fee schedule : $
Permit fee based on s • uare foota: a see D above : $
State Surchar. - 12% of .emit fee : $
FLS Plan Review 40% of . -rmit fee : $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
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